Healthcare Provider Details

I. General information

NPI: 1629199864
Provider Name (Legal Business Name): WILLIAM E ALLEN JR. PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22454 US HIGHWAY 72 STE 300
ATHENS AL
35613-2678
US

IV. Provider business mailing address

927 FRANKLIN ST SE
HUNTSVILLE AL
35801-4306
US

V. Phone/Fax

Practice location:
  • Phone: 256-539-2728
  • Fax: 256-539-2666
Mailing address:
  • Phone: 256-539-2728
  • Fax: 256-539-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTH10301
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: